| NPI | 1871121152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906008062) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06058700) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-08-02 |